TIFFANY A STORK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041354089

License Status

ACTIVE

Business

First Name

TIFFANY

Middle

Last Name

STORK

Business Name

TIFFANY A STORK

Original Issue Date

07/28/2006

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/28/2026